Evidence map›Paper›PMID 21946256›Full record

ArticleThe Journal of clinical investigation2011

Gene expression profiling of CD8+ T cells predicts prognosis in patients with Crohn disease and ulcerative colitis.

James C Lee, Paul A Lyons, Eoin F McKinney, John M Sowerby, Edward J Carr, Francesca Bredin, Hannah M Rickman, Huzefa Ratlamwala, Alexander Hatton, Tim F Rayner and 2 more

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in The Journal of clinical investigation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05186623 (Establishment of Prediction Model of Biologics and Small Molecular Agent for Patients With Ulcerative Colitis Using Longitudinal Data), which is not on this map. Cited by 159 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 4 pooled it
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05186623 recruitingnot on this mapstarted 2022, after this paper: background citation

Establishment of Prediction Model of Biologics and Small Molecular Agent for Patients With Ulcerative Colitis Using Longitudinal Data

Typeobservational_patient_registrySponsorAsan Medical CenterRan2022 to 2026Enrolled300ConditionsUlcerative ColitisArmsVedolizumab, Ustekinumab, or Tofacitinib
3 · Its place in the literature

Who cites it

159 citing papers in PubMed, 4 syntheses or guidelines pooled it, 300 citations in OpenAlex.

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99 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 3 countries.

James C LeeCambridge Institute for Medical Research, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
Paul A Lyons
Eoin F McKinney
John M Sowerby
Edward J Carr
Francesca Bredin
Hannah M Rickman
Huzefa Ratlamwala
Alexander Hatton
Tim F Rayner
Miles Parkes
Kenneth G C Smith
University of Cambridge · GBCambridge School · PTInstitute for Medical Research · MY

Funding

Medical Research Council G0400929Wellcome TrustWellcome Trust 079895Wellcome Trust 083650/Z/07/Z
6 · The paper itself

Abstract

Crohn disease (CD) and ulcerative colitis (UC) are increasingly common, chronic forms of inflammatory bowel disease. The behavior of these diseases varies unpredictably among patients. Identification of reliable prognostic biomarkers would enable treatment to be personalized so that patients destined to experience aggressive disease could receive appropriately potent therapies from diagnosis, while those who will experience more indolent disease are not exposed to the risks and side effects of unnecessary immunosuppression. Using transcriptional profiling of circulating T cells isolated from patients with CD and UC, we identified analogous CD8+ T cell transcriptional signatures that divided patients into 2 otherwise indistinguishable subgroups. In both UC and CD, patients in these subgroups subsequently experienced very different disease courses. A substantially higher incidence of frequently relapsing disease was experienced by those patients in the subgroup defined by elevated expression of genes involved in antigen-dependent T cell responses, including signaling initiated by both IL-7 and TCR ligation - pathways previously associated with prognosis in unrelated autoimmune diseases. No equivalent correlation was observed with CD4+ T cell gene expression. This suggests that the course of otherwise distinct autoimmune and inflammatory conditions may be influenced by common pathways and identifies what we believe to be the first biomarker that can predict prognosis in both UC and CD from diagnosis, a major step toward personalized therapy.

Indexed as

AdultCD8-Positive T-LymphocytesColitis, UlcerativeCrohn DiseaseFemaleHumansInterleukin-7MaleMiddle AgedPrognosisProspective StudiesReceptors, Antigen, T-CellSignal TransductionTranscriptomeIL7 protein, humanInterleukin-7Receptors, Antigen, T-Cell

Identifiers

PMID21946256
PMCPMC3196314
OpenAlexW2015008025

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.